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VALLEY MEDICAL PLAZA AMBULATORY NPI 1992794580


NPI Information

NPI: 1992794580
Provider Name: VALLEY MEDICAL PLAZA AMBULATORY
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1680 E HERNDON AVE
SUITE 101
FRESNO, CA
ZIP 93720
Phone: (559) 432-4200
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VALLEY MEDICAL PLAZA AMBULATORY is an ambulatory surgical clinic center in Fresno, CA. VALLEY MEDICAL PLAZA AMBULATORY NPI is 1992794580. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1680 E HERNDON AVE
SUITE 101
FRESNO, CA
ZIP 93720-305
Phone: (559) 432-4200
Fax: (559) 432-0147

The provider's authorized official is Chad Sherwood Reder .
The authorized official title is Surgical Director and has the following contact phone number (559) 432-4200.

The enumeration date for this NPI number is 10/17/2005 and was last updated on 5/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology040000241CALIFORNIANo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ31806ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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